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The complement (C) system is implicated in the etiopathogenesis of rheumatoid arthritis (RA). However, there is a lack of studies characterizing all three C pathways in RA patients. This study aimed to evaluate the association between an in-depth examination of the C system and RA patient characteristics, focusing on disease activity and the presence of rheumatoid factor and anti-citrullinated protein autoantibodies (ACPA). In a cohort of 430 RA patients, functional assays of the three C pathways (classical, alternative, and lectin) and serum levels of their components were assessed. Components included C1q (classical); factor D and properdin (alternative); lectin (lectin); C1-inhibitor; C2, C4, and C4b (classical and lectin); C3, C3a, and C4b (common); and C5, C5a, and C9 (terminal). A multivariable linear regression analysis showed significant positive correlations between C-reactive protein and C system proteins and functional assays, especially in the terminal and common pathways. Disease activity, measured by scores with or without acute phase reactants, positively correlated with the classical pathway functional test and terminal pathway products. Conversely, rheumatoid factor or ACPA presence was associated with lower classical pathway values and decreased C3a and C4b levels, suggesting complement depletion. In conclusion, RA disease activity increases C molecules and functional complement assays, while rheumatoid factor or ACPA positivity is linked to C consumption. Our study offers a detailed analysis of the complement system's role in RA, potentially guiding the development of more targeted and effective treatment strategies. [ABSTRACT FROM AUTHOR]

Background: The complement system has been linked to the etiopathogenesis of rheumatoid arthritis (RA). Patients with RA exhibit a dysregulated profile of lipid molecules, which has been attributed to the inflammation present in the disease. In this study, we aimed to evaluate the association between a comprehensive assessment of the complement system and the lipid profile of patients with RA. Methods: 430 patients with RA were recruited. New-generation techniques were employed to conduct functional assays of the three pathways of the complement system. Serum levels of various complement components such as C1q, factor D, properdin, lectin, C1-inhibitor, C2, C4, C4b, C3, C3a, C5, C5a, and C9 were assessed. Furthermore, a complete pattern of lipid molecules was measured including high (HDL), low-density lipoproteins (LDL), and lipoprotein (a). Multivariable linear regression analysis was conducted to investigate the association between the complement system and lipid profile in RA patients. Results: After multivariable analysis, several noteworthy associations emerged between the complement system and lipid molecules. Notably, complement components most strongly linked to the lipid profile were C1q and properdin, representing the upstream classical and alternative pathways, along with C3 from the common cascade. These associations demonstrated significance and positivity concerning total cholesterol, LDL, atherogenic index, apolipoprotein B, and lipoprotein(a), suggesting a connection with an unfavorable lipid profile. Interestingly, complement functional assays of the three pathways and activated products such as C3a and C5a showed no correlation with the lipid pattern. Conclusion: The correlation between the complement system and lipid molecule patterns is pronounced in patients with RA. This relationship is predominantly positive and primarily associated with upstream complement components rather than activated ones. [ABSTRACT FROM AUTHOR]

Diabetes is a major health issue in middle-income countries like Mexico. Multidisciplinary healthcare (MHC) models aim to improve diabetes care and reduce costs. However, the relationship between management practices, efficiency, and quality of care in MHC and traditional healthcare (THC) models is unclear. This study evaluates the efficiency and quality of diabetes healthcare models in Mexico, identifying associated management practices. Methodology. Data from a retrospective longitudinal analysis were used to compare 20 THC and 20 MHC. Technical efficiency (TE) scores were estimated using data envelopment analysis (DEA), quality scores were calculated based on provider competence and patient performance. The relationship between efficiency, quality, and management practices was analyzed using positive deviance regression. Results. DEA analysis indicate higher TE in MHC units (mean score: 65, SD = 19) compared to THC units (mean score: 24, SD = 23). MHC units scored 78.55 (SD = 18.71) in performance score, while THC units scored 37.7 (SD = 18.97). MHC units also outperformed THC units in competence scores (mean: 68.71, SD = 18.31 vs. 49.97, SD = 23.31). Several management practices were associated with best performance in terms of both efficiency and quality strategic thinking, human resource management, financial management, operations management, performance management, and governance. Conclusion. This study highlights the higher efficiency of MHC models in diabetes care compared to THC models in Mexico. However, both models require improvement in quality. Understanding the relationship between management practices, efficiency, and quality can guide policymakers in enhancing diabetes care in low- and middle-income countries. [ABSTRACT FROM AUTHOR]

Alligator weed, Alternanthera philoxeroides (Mart.) Griseb. (Amaranthaceae) is an aggressive invader in waterways and pastures throughout most of the southeastern U.S.A., and California. Three insect biological control agents have provided substantial control of aquatic A. philoxeroides in the warmer parts of its range in the U.S.A. However, these insects are less effective against A. philoxeroides in riparian-terrestrial habitats. In this study, the host specificity of Disonycha argentinensis Jacoby, 1991, was investigated to determine its suitability as a biocontrol agent of A. philoxeroides in the U.S.A. No-choice and multiple-choice tests were conducted using 19 test plant species. Complete development of larvae took place only on A. philoxeroides and on a native plant, Alternanthera maritima (Mart.) A. St.-Hil. Larval survival on A. philoxeroides (0.55 ± 0.05) did not differ from A. maritima (0.35 ± 0.15), but development time (days) from first instar to adult was faster on A. philoxeroides (21.78 ± 0.67) than on A. maritima (27.64 ± 0.70). No-choice oviposition tests showed that fecundity was higher on A. philoxeroides (400.6 ± 115.2 eggs) than on A. maritima (93.5 ± 23.5 eggs), but egg viability (proportion) did not differ between A. philoxeroides (0.40 ± 0.14) and A. maritima (0.60 ± 0.19). In multiple-choice tests, D. argentinensis oviposited indiscriminately on all plant species tested. Collectively, these results indicate that the native A. maritima is within the ecological host range of D. argentinensis and further tests (e.g., field studies) are necessary to determine if predicted non-target impacts will be transitory or persistent. [ABSTRACT FROM AUTHOR]

Diabetes prevalence is rising globally, especially in low- and middle-income countries like Mexico, posing challenges for healthcare systems that require efficient primary care to manage the disease. However, healthcare efficiency is influenced by factors beyond decision-makers, including socioeconomic and political conditions. This study aims to evaluate the technical efficiency of primary healthcare for diabetes patients in Mexico over a 12-year period and explore the impact of contextual variables on efficiency. A longitudinal analysis was conducted using administrative and socio-demographic data from 242 health jurisdictions between 2009 and 2020. Data envelopment analysis with bootstrapping and output orientation was used to measure the technical efficiency; health resources in infrastructure and human resources were used as inputs. As outcome, the number of patients receiving treatment for diabetes and the number of patients with controlled diabetes were considered. Machine learning algorithms were employed to analyse multiple factors affecting the provision of diabetes health services and assess heterogeneity and trends in efficiency across different health jurisdictions. The average technical efficiency in primary healthcare for diabetes patients was 0.44 (CI: 0.41–0.46) in 2009, reaching a peak of 0.71 (CI: 0.69–0.72) in 2016, and moderately declining to 0.60 (CI: 0.57–0.62) in 2020; these differences were statistically significant. The random forest analysis identified the marginalization index, primary healthcare coverage, proportion of indigenous population and demand for health services as the most influential variables in predicting efficiency levels. This research underscores the crucial need for the formulation of targeted public policies aimed at extending the scope of primary healthcare services, with a particular focus on addressing the unique challenges faced by marginalized and indigenous populations. According to our results, it is necessary that medical care management adjust to the specific demands and needs of these populations to guarantee equitable care in Mexico. [ABSTRACT FROM AUTHOR]

The error of estimated glomerular filtration rate (eGFR) and its consequences in predialysis are unknown. In this prospective multicentre study, 315 predialysis patients underwent measured GFR (mGFR) by the clearance of iohexol and eGFR by 52 formulas. Agreement between eGFR and mGFR was evaluated by concordance correlation coefficient (CCC), total deviation index (TDI) and coverage probability (CP). In a sub-analysis we assessed the impact of eGFR error on decision-making as (i) initiating dialysis, (ii) preparation for renal replacement therapy (RRT) and (iii) continuing clinical follow-up. For this sub-analysis, patients who started RRT due to clinical indications (uremia, fluid overload, etc.) were excluded. eGFR had scarce precision and accuracy in reflecting mGFR (average CCC 0.6, TDI 70% and cp 22%) both in creatinine- and cystatin-based formulas. Variations -larger than 10 ml/min- between mGFR and eGFR were frequent. The error of formulas would have suggested (a) premature preparation for RTT in 14% of stable patients evaluated by mGFR; (b) to continue clinical follow-up in 59% of subjects with indication for RTT preparation due to low GFRm and (c) to delay dialysis in all asymptomatic patients (n = 6) in whom RRT was indicated based on very low mGFR. The error of formulas in predialysis was frequent and large and may have consequences in clinical care. [ABSTRACT FROM AUTHOR]

In the search for insects as biological control agents for the water primrose, the delphacid Pissonotus paraguayensis (Delphacidae) was found on Ludwigia grandiflora subsp. hexapetala (Onagraceae) in a wetland of Central East Argentina. The morphology of the unknown females (brachypterous and macropterous) and immature stages are described and illustrated. Adults and nymphs were collected in wetlands of Del Plata River Basin, from Buenos Aires to the northeastern part of Argentina. A rearing methodology was developed to perform biological studies. Both winged forms and structural features of the female genitalia are described for the first time at the genus level. Eggs and immature stages are described and keyed; fifth nymphal instars may be easily recognised by the yellowish colouration, blackish on dorsal of head, thorax and abdomen with conspicuous yellowish pits, ventrally only darkened on base of frons extended to lower level of eyes and dorsal surface of antennomeres I and II, and legs with distinctive black marks at femoro-tibial joint and apex. The geographical distribution is updated, expanding its range into Argentina, making Buenos Aires the southernmost limit of the genus in America. Biological information of the species is also reported here: life cycle, fecundity, oviposition behaviour, and host plant. Field observations showed that P. paraguayensis breeds, feeds, and causes damage to L. g. subsp. hexapetala. This delphacid presents a certain degree of specificity to the Ludwigia species in the Jussiaea section in host specificity tests. More studies are required to test this species as a potential biological control agent. [ABSTRACT FROM AUTHOR]

Copyright of I+D Revista de Investigaciones is the property of Universidad de Investigacion y Desarrollo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Gait disorders are a major cause of disability and reduced health-related quality of life in people with multiple sclerosis (pwMS). Dry needling (DN) has demonstrated positive results to improve gait parameters in patients with stroke. The main aim of this study was to evaluate the effect of a single session of DN in the gait performance of pwMS. Methods: A double-blind parallel randomized sham-controlled pilot trial was conducted. Study participants received a single session of active DN or sham DN in the gastrocnemius medialis muscle. Pre-treatment and immediately post-treatment measurements were taken, as well as at one and four weeks after the intervention. Outcomes related to gait performance (Timed 25-Foot Walk), self-perceived walking capacity (Multiple Sclerosis Walking Scale), risk of falls (Timed Up and Go test), disability level (Expanded Disability Status Score) and quality of life (Multiple Sclerosis Quality of Life-54 questionnaire and Analogic Quality of Life scale) were evaluated. Results: 18 patients who had multiple sclerosis participated in the study. The group who received active DN showed within-group significant statistical differences immediately after treatment for gait performance (p = 0.008) and risk of falls (p = 0.008), as well as for self-perceived walking capacity at one week (p = 0.017) and four weeks (p = 0.011) and quality of life at four weeks (p = 0.014). Regarding the comparison between groups, only significant results were obtained in the physical domain of the quality of life at four weeks (p = 0.014). Conclusions: DN seems to be a promising therapeutic tool for the treatment of gait disorders in pwMS. However, when results were compared with sham DN, no differences were found. [ABSTRACT FROM AUTHOR]

Copyright of Entomologia Experimentalis et Applicata is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Several components of classical biological control (CBC) programmes are necessary to assess the success of the management strategy (e.g., post‐release monitoring) and also help prevent reintroductions or resurgences of invasive species (e.g., public awareness). Water hyacinth, Pontederia (= Eichhornia) crassipes (Mart.) Solms (Pontederiaceae) is an aquatic plant naturally distributed in the north‐eastern region of the Del Plata basin in Argentina. In the 1960s it was introduced into the Dique Los Sauces reservoir located outside of its native range in La Rioja Province, in western Argentina, where it became invasive. The natural enemy, Neochetina bruchi Hustache (Coleoptera: Curculionidae), was intentionally introduced in 1974 to control the weed. To assess the success of this CBC programme, a long‐term post‐release study was conducted. Between 1965 and 2023, we monitored plant coverage, estimated N. bruchi densities, and quantified the associated damage by reanalysing previously published data and incorporating new sampling. We also conducted an online survey to analyse public knowledge and perception about this programme. Water hyacinth coverage fluctuated from its first record in 1965 (maximum coverage 90%) until the control of germinated plants (coverage 0%) in 2018. The plant decline was accompanied by an increase in the weevil population. In our survey, out of 325 respondents only a small group of mostly middle‐aged and elderly people knew that the restoration had been achieved through a management strategy and even fewer were aware of the biocontrol approach taken. Respondents who had a positive approach to biological control were more aware of the management plan than respondents who had neutral or negative opinions. Neochetina bruchi has played a key factor in the control of P. crassipes. The intrinsic dynamics of these populations, the dormant seed bank, and the lack of public awareness support the need for long post‐release evaluations including outreach campaigns to make a sustainable successful management programme. [ABSTRACT FROM AUTHOR]

The monocytes to high-density lipoprotein (HDL)-cholesterol ratio (MHR) indicates inflammation based on the anti-inflammatory properties of HDL-cholesterol as well as the pro-inflammatory effect of monocytes. Several studies have investigated MHR in various disorders, specifically in cardiovascular diseases. Consequently, MHR has been significantly associated with cardiovascular and all-cause mortality in the general population, regardless of established risk factors. However, its role in the augmented risk of cardiovascular disease found in rheumatoid arthritis (RA) has not been studied to date. This is a cross-sectional study that encompassed 430 patients with RA and 208 controls matched by sex and age. Complete blood cell count and complete lipid profile were evaluated. Multivariable analysis was made to analyze the relationship between MHR and RA disease and features subclinical carotid atherosclerosis, and traditional CV factors including insulin resistance and beta cell function indices. MHR values did not differ between controls and patients after multivariable adjustment (12 ± 6 vs. 11 ± 6, p = 0.18). No relationship between this ratio and the characteristics of the disease was found excluding ESR, which showed a significant and positive association with MHR after adjustment for covariates. MHR significantly correlated with Systematic Coronary Risk Evaluation-2 (SCORE2) cardiovascular risk algorithm, and insulin resistance and beta cell function parameters after adjustment. In conclusion, MHR does not differ between patients with RA and controls. The relationship of this biomarker with disease-related data is poor. However, MHR is highly and positively related to cardiovascular risk and insulin resistance in RA. [ABSTRACT FROM AUTHOR]

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Summary: The ecological and evolutionary processes shaping community structure and functions of microbial symbionts are known to be scale‐dependent. Nonetheless, understanding how the relative importance of these processes changes across spatial scales, and deciphering the hierarchical metacommunity structure of fungal endophytes has proven challenging.We investigated metacommunities of endophytic fungi within leaves of an invasive plant (Alternanthera philoxeroides) across wide latitudinal transects both in its native (Argentina) and introduced (China) ranges to test whether metacommunities of fungal endophytes were structured by different drivers at different spatial scales.We found Clementsian structures with seven discrete compartments (distinctive groups of fungal species with coincident distribution ranges), which coincided with the distribution of major watersheds. Metacommunity compartments were explicitly demarcated at three spatial scales, that is, the between‐continent, between‐compartment, and within‐compartment scales. At larger spatial scales, local environmental conditions (climate, soil, and host plant traits) were replaced by other geographical factors as principal determinants of metacommunity structure of fungal endophytes and community diversity–function relationships.Our results reveal novel insights into the scale dependency of diversity and functions of fungal endophytes, which are likely similar for plant symbionts. These findings can potentially improve our understanding of the global patterns of fungal diversity. [ABSTRACT FROM AUTHOR]

Background: This study employed bibliometric analysis to ascertain the research focus areas among a group of Mexican physicians affiliated with the Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE). ISSSTE, a healthcare institution catering to a diverse range of diseases, offers a distinctive perspective on the investigated specialties within the realm of health. The primary objective was to identify knowledge gaps in medical care disciplines through a comprehensive examination of scholarly publications. Methods: We retrieved Scopus papers affiliated with "ISSSTE" and saved them as.CSV files. Subsequently, we employed VOSviewer, biblioshiny, and bibliometrix for bibliometric analysis. This enabled us to identify prominent institutions, prolific authors, highly cited researchers, and their respective affiliations. Results: Our analysis identified 2063 publications; the specialty internal medicine accounted for the greatest proportion with 831 publications. Original papers accounted for 82% of the total, with 52% of them being written in Spanish. The majority of scientific output, 92%, originated from Mexico City. The annual production has steadily increased since 2010, peaking in 2021 with over 200 publications. However, papers on prevalent conditions, such as metabolic syndrome, received limited citations, and the L0 index (percentage of uncited items) for all papers is close to 60%. Scopus mislabeled one affiliation, and some cases show a low paper-to-author ratio of 0.5 Discussion: Additional concerns, such as honorary authorship due to excessive authors per paper, and the underlying causes of low citation rates in Mexican publications, warrant further examination. Moreover, our research emphasizes the urgency of bolstering research and development funding, which was consistently below 0.5% of GDP for the past four decades, falling short of legal mandates and international benchmarks. We endorse the establishment of robust research collectives in Latin America to address these challenges, foster regional scientific output, and transition from knowledge consumers to knowledge producers, thereby reducing dependence on foreign technology. [ABSTRACT FROM AUTHOR]

National idiosyncrasies in the adoption of the Nagoya Protocol (NP) and implementation of access and benefit sharing (ABS) have created obstacles for many research-based activities that require access to genetic resources. This is particularly true for disciplines such as classical and augmentative biological control. As a provider of biological control genetic resources worldwide, South America plays an important role in this context. The status of adoption of the NP in South America is reviewed, analysing the number of internationally recognised certificates of compliance, and examining the number of certificates issued in South America to access biological control genetic resources. We also summarise the common problems associated with access and export of biological control genetic resources through the experience of a non-governmental organisation in Argentina, the Fundación para el Estudio de Especies Invasivas (https://en.fuedei.org/). Finally, we provide some communication and awareness-raising activities to persuade policy makers on the importance of facilitating the exchange of biocontrol genetic resources and ABS regulations in South America. [ABSTRACT FROM AUTHOR]

Invasive alien species are one of the main causes of biodiversity loss and ecosystem alteration. Obtaining up-to-date occurrence records and accurate invasion risk maps has become crucial to develop timely and effective management strategies. Unfortunately, gathering and validating distribution data can be labor-intensive and time-consuming, with different data sources unavoidably leading to biases in the results. In this study, we evaluated the performance of a tailored citizen science project compared with other data sources, in mapping the current and potential distribution of Iris pseudacorus, a strong invasive alien plant in Argentina. To do so, we used geographic information systems and ecological niche modeling with Maxent, and compared data from: i) a citizen science tailored project; ii) the Global Biodiversity Information Facility (GBIF); and iii) an exhaustive professional data collection (i.e. field samplings across Argentina, literature and collections review). Results suggest that the citizen science tailored project provided a larger and more diversified amount of data compared to the other sources. All data-sources showed good performance in the ecological niche models, however, data from the tailored citizen science project predicted a greater suitable area, including regions not yet reported. This allowed us to better identify critical and vulnerable areas, where management and prevention strategies are necessary. Professional data provided more reports in non-urban areas, whereas citizen science based data sources (i.e. GBIF and the citizen science project conducted in this study) reported more sites in urban areas, which indicates that different data-sources are complementary and there is a big potential in combining methods. We encourage the use of tailored citizen science campaigns to gather a more diverse amount of data, generating better knowledge about aquatic invasive species and helping decision-making in ecosystem management. [ABSTRACT FROM AUTHOR]

Objective: Oxidative Stress (OS) is a pathogenic mechanism present in Chronic Obstructive Pulmonary Disease (COPD), with a systemic effect and which can alter the quality of life of patients. The aim of this study is to study the relationship between OE and quality of life in patients with stable COPD. Methods: Seventy-six subjects were studied, 54 with COPD and 22 controls. The amount of malondialde-hyde (MDA) in serum (nmol/mL) and induced sputum (nmol/mg protein) were measured as markers of systemic and bronchial OE, respectively. In addition, quality of life was measured using the St. George's questionnaire, which is specific for COPD patients. Results: Patients with COPD presented higher serum MDA levels than controls (2.98 ± 0.03 nmol/mL vs. 1.2 ± 0.03 nmol/mL, p<0.001 respectively). An inverse association was observed between Forced Expiratory Volume (FEV1)%, MDA levels in sputum (r=-0.499, p=0.018) and serum (r=-0.29, p=0.029). Finally, controlling for degree of bronchial obstruction, a direct association was observed between serum MDA levels and Total Quality of Life domains (r=0.48, p=0.04), on impact (r=0.57, p<0.001) and on activity (r=0.38, p=0.028). Conclusion: Systemic oxidative stress is increased in stable phase COPD patients. In addition, increased bronchial obstruction increases both systemic and bronchial oxidative stress. Finally, regardless of the degree of bronchial obstruction, systemic oxidative stress decreases patients' quality of life. [ABSTRACT FROM AUTHOR]

Background: Post-transplant diabetes mellitus (PTDM) beyond 12 months (late PTDM) is a severe complication after renal transplantation. Late PTDM develops mostly in subjects with prediabetes. Although exercise may have a potential role in preventing late PTDM, there are no previous data on the effect of exercise in patients with prediabetes. Material and Methods: The design was a 12-month exploratory study to test the capacity of exercise in reverting prediabetes in order to prevent late-PTDM. The outcome was the reversibility of prediabetes, assessed every 3 months with oral glucose tolerance tests (OGTT). The protocol included an incremental plan of aerobic and/or strength training as well as an active plan for promoting adherence (telephone calls, digital technology, and visits). A priori, a sample size cannot be calculated which makes this an exploratory analysis. Based on previous studies, the spontaneous reversibility of prediabetes was 30% and the reversibility induced by exercise will account for another 30%, a total reversibility of 60% (p value < 0.05, assuming a potency of 85%). Ad interim analysis was performed during follow-up to test the certainty of this sample calculation. Patients beyond 12 months after renal transplantation with prediabetes were included. Results: The study was interrupted early due to efficacy after the evaluation of the follow-up of 27 patients. At the end of follow-up, 16 (60%) patients reverted to normal glucose levels at fasting (from 102.13 mg/dL ± 11 to 86.75 ± 6.9, p = 0.006) and at 120 min after the OGTTs (154.44 mg/dL ± 30 to 113.0 ± 13.1, p = 0.002) and 11 patients had persistent prediabetes (40%). Also, insulin sensitivity improved with the reversibility of prediabetes, compared to those with persistent prediabetes: 0.09 [0.08–0.11] versus 0.04 [0.01–0.07], p = 0.001 (Stumvoll index). Most needed at least one increment in the prescription of exercise and compliance. Finally, measures aimed at the improvement of compliance were successful in 22 (80%) patients. Conclusion: Exercise training was effective to improve glucose metabolism in renal transplant patients with prediabetes. Exercise prescription must be conducted considering both the clinical characteristics of the patients and pre-defined strategy to promote adherence. The trial registration number of the study was NCT04489043. Key Points: PTDM is a risk factor for major complications: cardiovascular diseases, infections, and renal cell cancer. Strategies to prevent PTDM are limited. Exercise training is an effective alternative to improve glucose metabolism in renal transplant patients. Thus, exercise can be considered, together with diet and medications, as a tool to treat and prevent these complications. A pre-defined strategy to improve compliance must be considered simultaneously with exercise prescription. [ABSTRACT FROM AUTHOR]

There is conflicting evidence from studies on the fitness consequences of plant kin interactions, suggesting that kinship is not the only important factor in determining the outcome of kin interaction.Here, we tested whether density‐dependent kin interactions have evolved from competition to cooperation by kin selection of reduced shade avoidance responses following the introduction of an invasive plant. We measured how plants respond to kin neighbours (the same accession) and simulated vegetation shade (lower PPFD and R:FR ratio treatments using transparent green plastic filters) and determine whether shade avoidance responses affect the outcome of kin interactions using five native (Argentina) and five invasive (USA) accessions of Alternanthera philoxeroides.Our results showed that invasive accessions exhibited constant stem elongation but increased total biomass as canopy density increased, while native accessions exhibited the opposite. Furthermore, invasive accessions reduced stem elongation, but increased biomass and defence allocation in response to an experimental treatment causing a low R:FR ratio, while native accessions exhibited the opposite.Synthesis. Our results support the hypothesis that kin selection against shade avoidance may effectively promote the evolution of density‐dependent kin cooperation. This suggests that kin selection pressures may play a more important role in fine‐tuning plant shade avoidance responses than generally thought. Kin selection against selfish shade avoidance behaviour and release from negative density‐dependent regulation provides a new mechanism to explain plant invasion success for future studies. [ABSTRACT FROM AUTHOR]

Insect outbreaks are a common multicausal population phenomenon that is characterised by a fast growth of the population, followed by an equally sudden collapse in a relatively short period in the manner of an excitable system. If the outbreaking insect is herbivorous or attacks trees or plants as a part of its life cycle, this phenomenon causes a major impact on the plant's population. As a consequence, outbreaks are a major cause of vegetation loss and tree mortality in ecosystems. Among the several causes of outbreaks, climatic/environmental variation is one of the most important. For example, droughts can weaken plant defences making them more susceptible to insect herbivore attacks. As the climatic-driven effects on plant populations are correlated to time and space, not only the type of variability but also its magnitude, are of key importance for the appearance of this phenomenon. In theoretical studies, noise colour is usually used as a proxy to represent the variability of forcing external variables, such as climate. In this study, we conducted a series of simulations using a spatially explicit model to analyse the effect of combining several types of spatial and temporal environmental noise colours (red, pink, white, blue, violet, and grey) on the frequency of outbreaks. We found that the frequency of outbreaks increased with the autocorrelation of noise. The combination of spatial and temporal white noise showed a low-risk scenario, while pink noise had a much higher frequency of this phenomenon. However, the combination of spatial grey noise (a noise composed of both low and high frequencies), with temporal low-frequency noise, resulted in all simulations causing severe outbreaks. We suggest two explanations for this. On one hand, the presence of high-frequency noise gave the herbivore the ability to percolate through refugees caused by the low-frequency noise; and, on the other hand, low-frequency temporal noise gave the herbivore time to kill all simulated host plants. [ABSTRACT FROM AUTHOR]

Invasive alien species are among the most important threats to biodiversity, with invasive plants ranking among the highest. Classical weed biological control—or biocontrol—reunites exotic plants with host-specific natural enemies from their native range with the aim of controlling the invasive plant. We reviewed the attention classical weed biocontrol has received from scientific publications for the last 30 years, classified according to the area of academia and applied sciences, as well as the region of the world. Biological control journals were excluded from the analyses to avoid bias. This process allowed us to evaluate the support classical weed biocontrol has among the scientific community. We also recorded the number of weed biocontrol agents released from 1900 to date, where they were collected, and where they were released as a way to analyze the evolution of classical weed biocontrol policies in different parts of the world. Classical weed biocontrol releases peaked between 1990 and 1999, but have declined since, probably due to funding issues, increases in regulations, and bad publicity. Researchers in theoretical ecology appear to be more skeptical toward weed biocontrol than scientists in applied and experimental biology. Our synthesis also suggests that despite resistance to classical weed biocontrol in some quarters of the scientific community, the general scientific perception of the discipline has been consistently favorable. This means that the general scientific perception of classical weed biocontrol contradicts its level of current application. The five main objections against classical weed biocontrol—direct nontarget effects, indirect and hidden nontarget effects, evolution of host shifts in biocontrol agents, dispersion to unwanted areas, and disagreements on its level of success in the field—are summarized and analyzed in terms of their relevance and probability of occurrence. We also describe the way classical weed biocontrol practitioners deal with them at present to ensure safety and sustainability. Our analysis suggests the potential of classical weed biocontrol is undervalued in some areas of science and management due to objections that are plausible in theory, although their likelihood is very low and on-ground evidence scant. [ABSTRACT FROM AUTHOR]

This study aims to test the effectiveness and safety of exteriorization surgery comprising atticotomy and obliteration of the additus ad antrum, also referred to as attic exposition–antrum exclusion (AE-AE) surgery. This surgery combines otoendoscopy with surgical microscopy for the treatment of acquired pars flaccida cholesteatoma in stages Ib and II (according to the classification of the Japan Otological Society) present in the attic and the tympanic cavity. We reviewed a historical cohort of 65 patients. Of the total, 21 were treated with canal wall-up tympanomastoidectomy (CWU). Patients in whom the AE-AE technique was performed had residual and recurrence rates of 0% and 9.1%, respectively, compared with 28.6% and 9.5%, respectively, for those treated with CWU. In the AE-AE procedure, surgery is performed in one stage compared with the two stages in CWU, to address the risk of residual cholesteatoma. Auditory thresholds were higher in the CWU group compared with the AE-AE group in the pre-surgery (53 ± 16 vs. 44 ± 15 dB; p = 0.039) and post-surgery (52 ± 18 vs. 42 ± 16 dB; p = 0.042) evaluations but not in pre–post-surgery comparisons for either the AE-AE technique (p = 0.89) or the CWU technique (p = 0.96). We conclude that AE-AE is an effective and safe technique for the treatment of acquired stage Ib and II cholesteatoma present in the attic and tympanic cavities. [ABSTRACT FROM AUTHOR]

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Copyright of Agronomía Colombiana is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Entomopathogenic fungi (EF) are important biocontrol agents due to their wide host range, easy application, and compatibility with phytosanitary products. Stink bugs (Hemiptera: Pentatomidae) are the most important rice pests in Argentina. Although there is information on the pathogenicity of EF against stink bug pests in rice fields, the natural incidence of EF, and especially their association with stink bug species and plant characteristics, is largely unexplored. The aims of this study were: (1) to monitor the natural incidence of EF on Pentatomidae pests in Argentinian rice paddies; (2) to assess the relationship between the incidence of EF, stink bug feeding guild, and rice cultivar; and (3) to perform a phylogenetic analysis of the EF recorded. Sampling was conducted in target rice fields throughout the rice‐growing season (2017–2018), during which adult individuals of Tibraca limbativentris Stål and Oebalus spp. were manually collected and visually examined for evidence of mycelial development. Of the 780 individuals examined, 182 infected individuals were recorded, from which 12 strains of EF were isolated and identified based on molecular characterization: three strains of Beauveria bassiana sensu lato (Bals.‐Criv.) Vuill., five of Metarhizium anisopliae s.l. (Metschn.) Sorokin, and four of Purpureocillium lilacinum (Thom) Luangsa‐ard et al. (Hypocreales). The occurrence of the three EF species was significantly higher in stem‐feeding T. limbativentris than in seed‐feeding Oebalus spp., thus, differed between feeding guilds. For T. limbativentris, the occurrence of EF was higher when feeding on a short than on a tall rice variety, thus, differed between plant varieties. The results illustrate the potential of using native strains of EF in integrated management of stink bugs in rice. [ABSTRACT FROM AUTHOR]

3D printing is an emerging and powerful technique to create shape-defined three-dimensional structures for tissue engineering applications. Herein, different alginate–cellulose formulations were optimized to be used as printable inks. Alginate (Alg) was chosen as the main component of the scaffold due to its tunable mechanical properties, rapid gelation, and non-toxicity, whereas microcrystalline cellulose (MCC) was added to the hydrogel to modulate its mechanical properties for printing. Additionally, Fmoc-FFY (Fmoc: 9-fluorenylmethoxycarbonyl; F: phenylalanine; Y: tyrosine), a self-assembled peptide that promotes cell adhesion was incorporated into the ink without modifying its rheological properties and shear-thinning behavior. Then, 3D-printed scaffolds made of Alg, 40% of MCC inks and Fmoc-FFY peptide were characterized by scanning electron microscopy and infrared spectroscopy, confirming the morphological microstructure of the hydrogel scaffolds with edged particles of MCC homogeneously distributed within the alginate matrix and the self-assembly of the peptide in a β-sheet conformation. Finally, the cytocompatibility of the scaffolds was tested in contact with the MG63 osteosarcoma cells, confirming the absence of cytotoxic components that may compromise their viability. Interestingly, MG63 cell growth was retarded in the scaffolds containing the peptide, but cells were more likely to promote adhesive interactions with the material rather than with the other cells, indicating the benefits of the peptide in promoting biological functionality to alginate-based biomaterials. [ABSTRACT FROM AUTHOR]

Dry eye disease (DED) has a higher prevalence than many important systemic disorders like cardiovascular disease and diabetes mellitus, representing a significant quality of life burden for the affected patients. It is a common reason for consultation in general eye clinics worldwide. Nowadays, the diagnostic and therapeutic approach at the high corneal and ocular surface specialty level should be reserved for cases of severe and chronic dry eye disease associated with systemic autoimmune diseases or complicated corneal and ocular surface pathologies. In such cases, the diagnostic and therapeutic approach is often complex, elaborate, time-consuming, and costly due to the use of extensive dry eye questionnaires, noninvasive electronic diagnostic equipment, and clinical laboratory and ancillary tests. However, other eye care specialists attend a fair amount of DED cases; therefore, its diagnosis, classification, and management should be simple, practical, achievable, and effective. Considering that many patients attending non-specialized dry eye clinics would benefit from better ophthalmological attention, we decided to elaborate a practical DED classification system based on disease severity to help clinicians discriminate cases needing referral to subspecialty clinics from those they could attend. Additionally, we propose a systematic management approach and general management considerations to improve patients' therapeutic outcomes according to disease severity. [ABSTRACT FROM AUTHOR]

Introduction: Patient-reported outcomes (PROs) use, via a computer registry, allows patients to report their symptoms enabling the detection of early signs of progression of the disease. For such a record, the patient needs to show certain skills in new technologies use. The present study aimed to analyse the perception and degree of digital literacy of patients undergoing oncological treatment in an Oncology Day Hospital (ODH). Methods: A cross-sectional descriptive study was performed, where the degree of literacy of patients attending antineoplastic treatment at the ODH was examined by means of an anonymous survey. Results: A total of 122 patients have been included in the study. The proportion of subjects who use the electronic mail (TM) and the Internet on a daily basis was 45.1% and 70.5%, respectively, and up to 77.9% from the subjects considered that the use of digital 2.0 strategies could help improve communication between healthcare professional and patient. The TM was determined by the age, educational level and employment status of the individual. Furthermore, the age of the patients conditioned their perception of the usefulness of the web 2.0 tools (T2.0). Conclusion: This study allowed us to establish a target patient profile to conduct the efficient monitoring of cancer progression by PROs. The results have shown that approximately 60% of the patients in our population could be potential candidates to receive PROs-based health care. This approach enables earlier detection of symptoms and signs of progression and consequently, improves health outcomes for cancer patients. [ABSTRACT FROM AUTHOR]

Parkinsonia aculeata L. (Fabaceae: Caesalpinioideae), native to the Americas, is a designated Weed of National Significance in Australia. The leaf‐feeding geometrid moth species, Eueupithecia cisplatensis Prout (Lepidoptera: Geometridae), was identified as a potential biological control agent of P. aculeata following native range surveys in Argentina. After importation into quarantine for host specificity assessment, this species was identified as a cryptic species complex of two morphologically similar species. The new species, Eueupithecia vollonoides Hausmann (Lepidoptera: Geometridae), was subsequently described. The biology and host range of both moth species were examined to determine their suitability as biological control agents. Host specificity was evaluated in the native range, by surveying insects found on closely related plant species, and in the laboratory, by no‐choice larval development tests. Native range surveys and laboratory assays revealed a high level of specificity to P. aculeata by both Eueupithecia species. Of the 71 plant species from the Fabaceae family that were tested, E. cisplatensis completed development on only one non‐target species, Parkinsonia praecox. This plant species is not present in Australia, and no Eueupithecia species were found to use P. praecox in the field in its native range. Hence, the risk of non‐target effects if these species were to be released in Australia was considered to be low. One mitochondrial (COI) gene region and two nuclear (28S and CAD) gene regions were tested for their ability to differentiate between the two cryptic species. COI haplotypes from E. cisplatensis and E. vollonoides belong to two divergent haplotype groups and can reliably distinguish either species from the other. Some 28S and CAD gene haplotypes are shared at low frequencies, perhaps because of rare or historical hybridisation or incomplete lineage sorting, thus cannot reliably discriminate between the species. This pattern of mito‐nuclear discordance requires further elucidation using population genetics studies to determine its biological significance. Based on the results of host specificity tests, E. cisplatensis and E. vollonoides were approved for release in Australia in May 2013 and May 2014, respectively. [ABSTRACT FROM AUTHOR]

Contingency data was retrospectively collected to evaluate the historical and current ability to provide multimodality intraoperative neurophysiological monitoring during carotid endarterectomy under two conditions: total intravenous anaesthesia (TIVA) and low dose halogenated anaesthesia (SEVO). 229 patients were monitored during carotid endarterectomy procedures under general anaesthesia between 2012 and 2020. 121 Patients were monitored with SEVO at a minimum alveolar concentration less than 0.7 and 108 were monitored using TIVA, according to common anaesthetic practice standards in our hospital across the years. Multimodality IONM was established with electroencephalography, somatosensory evoked potentials and motor evoked potentials. As compared to TIVA, patients monitored with SEVO showed significantly higher motor evoked potential thresholds (313.52 ± 77.74 SEVO and 218.93 V ± 103.2 V TIVA p < 0.05) and lower reproducibility. Electroencephalography and somatosensory evoked potentials showed no significant differences among the groups. When using SEVO, multimodality intraoperative neurophysiological monitoring during carotid endarterectomy could mask or miss a motor isolated change in patients in spite of low dose minimum alveolar concentration and of apparently adequate electroencephalography and somatosensory evoked potentials for monitoring. Given these difficulties, we believe the chronological transfer to TIVA could have improved our ability to establish multimodality intraoperative neurophysiological monitoring during carotid endarterectomy in recent times. [ABSTRACT FROM AUTHOR]

The relationship between herbivory and latitude may differ between native and introduced populations of invasive plants, which can generate latitudinal heterogeneity in the strength of enemy release. However, still little is known about how latitudinal heterogeneity in herbivore pressure influences latitudinal variation in defense phenotypes of invasive plants. We tested how latitudinal patterns in multi‐variate defense syndromes differed between native (Argentinian) and introduced (Chinese) populations of the invasive herb Alternanthera philoxeroides. In addition, to better understand the drivers underlying latitudinal patterns, we also tested whether associations of defense syndromes with climate and herbivory differed between native and introduced ranges. We found that native plant populations clustered into three main defense syndromes associated with latitude. In contrast, we only found two defense syndromes in the introduced range. One matched the high‐latitude syndrome from the native range, but was distributed at both the northern and southern range limits in the introduced range. The other was unique to the introduced range and occurred at mid‐latitudes. Climatic conditions were associated with variation in syndromes in the native range, and climatic conditions and herbivory were associated with variation in syndromes in the introduced range. Together, our results demonstrate that plants may under the new environmental conditions in the introduced range show latitudinal patterns of defense syndromes that are different from those in their native range. This emphasizes that geographical dependence of population differentiation should be explicitly considered in studies on the evolution of defense in invasive plants. [ABSTRACT FROM AUTHOR]

Aims: The aim of the LAICA study was to evaluate the long‐term effectiveness and safety of intermittent levosimendan infusion in patients with advanced heart failure (AdHF). Methods and results: This was a multicentre, randomized, double‐blind, placebo‐controlled clinical trial of intermittent levosimendan 0.1 μg/kg/min as a continuous 24‐h intravenous infusion administered once monthly for 1 year in patients with AdHF. The primary endpoint [incidence of rehospitalization (admission to the emergency department or hospital ward for >12 h) for acute decompensated HF or clinical deterioration of the underlying HF] occurred in 23/70 (33%) of the levosimendan group (Group I) and 12/27 (44%) of the placebo group (Group II) (P = 0.286). The incidence of hospital readmissions for acute decompensated HF (Group I vs. Group II) at 1, 3, 6, and 12 months was 4.2% vs. 18.2% (P = 0.036); 12.8% vs. 33.3% (P = 0.02); 25.7% vs. 40.7% (P = 0.147); 32.8% vs. 44.4% (P = 0.28), respectively. In a secondary pre‐specified time‐to‐event analysis no differences were observed in admission for acute decompensated HF between patients treated with levosimendan compared with placebo (hazard ratio 0.66; 95% CI, 0.32–1.32; P = 0.24). Cumulative incidence for the aggregated endpoint of acute decompensation of HF and/or death at 1 and 3 months were significatively lower in the levosimendan group than in placebo group [5.7% vs. 25.9% (P = 0.004) and 17.1% vs. 48.1% (P = 0.001), respectively], but not at 6 and 12 months [34.2% vs. 59.2% (P = 0.025); 41.4% vs. 66.6% (P = 0.022), respectively]. Survival probability was significantly higher in patients who received levosimendan compared with those who received placebo (log rank: 4.06; P = 0.044). There were no clinically relevant differences in tolerability between levosimendan and placebo and no new safety signals were observed. Conclusions: In our study, intermittent levosimendan in patients with AdHF produced a statistically non‐significant reduction in the incidence of hospital readmissions for acute decompensated HF, a significantly lower cumulative incidence of acute decompensation of HF and/or death at 1 and 3 month of treatment and a significant improvement in survival during 12 months of treatment. [ABSTRACT FROM AUTHOR]

Overhydration is a predictor of mortality in hemodialysis (HD) patients. Bioimpedance spectroscopy (BIS) is used to determine the body composition. Extracellular Water/Total Body Water (ECW/TBW) ratio has been proposed to predict mortality. Multicenter, prospective, observational, proof-of-concept study to estimate the impact of ECW/TBW in global and cardiovascular mortality and the relationship with cardiovascular biomarkers. The study included 60 patients (mean age, 71.8 ± 11.4 years; mean time on HD, 52.3 ± 30.8 months) with a median follow-up of 30.5 months (IQ range, 17.2–34 months). Post-dialysis ECW/TBW was directly associated with NT-proBNP and cTnT. During the study 28 patients died, most of them (43%) due to cardiovascular events. Compared to the survivors, these subjects had a higher post-dialysis ECW/TBW ratio (p = 0.006), while for cardiovascular mortality the only significant difference was a higher pre-dialysis ECW/TBW. The ability of post-dialysis ECW/TBW ratio to predict all-cause mortality had an area under the ROC curve (AUC) of 0.71 (CI 95%, 0.57–0.81; p = 0.002), with a cutoff point of 0.5023. For cardiovascular mortality the AUC was 0.66 (CI 95%, 0.52–0.77; p = 0.045), with a cutoff point of 0.4713. The post-dialysis ECW/TBW ratio measured by BIS can be a predictor of all-cause and cardiovascular mortality. [ABSTRACT FROM AUTHOR]

Environmental education seeks to foster an appreciation for nature and the impact of humans on it while introducing citizens to scientific thinking. Biological invasions affect different aspects of life on earth and mandate urgent management actions. Education and public awareness are strongly recommended for successful prevention and management of invasive alien species (IAS). This work presents a study on knowledge and perception of the educational community of Argentina about native species and IAS. We designed an on-line semi-structured questionnaire to examine perception of the environment, recognition of native species and IAS and awareness about biological invasions. Educators recognised an important number of biotic components, mostly represented by trees, birds and mammals. Recognition of native species and IAS, and awareness of biological invasions were different between NST (Natural Science Teachers) and non-NST. Respondents had different performances when they were exposed to recognising native species though written names or photographs. Out of 532 respondents, 56% knew what biological invasions are, 21% answered "Maybe" and 23% had never heard about them. We need to foster capacity-building and encourage a two-way communication between educators and scientists, formally and informally, to engage the participation of the whole society in recognition, prevention and management of IAS. [ABSTRACT FROM AUTHOR]

Hedychium coronarium (Zingiberales: Zingiberaceae), native to the Himalayas and southern China, has become an environmental weed in many countries around the world. Reported in several provinces of Argentina, H. coronarium constitutes a serious environmental problem especially in the wetlands of natural areas of Misiones Province, such as the Iguazú National Park, a World Heritage site. Hedychium coronarium does not have any specialist natural enemies in Argentina, and the Argentine flora does not have taxonomically closely related relatives to it. This suggests that it may be a prospective target for classical biological control in Argentina. Since 2008, the Centre for Agriculture and Bioscience International (CABI) (https://www.cabi.org) has been commissioned to find and evaluate biological control agents for the invasive Hedychium species complex for Hawaii and New Zealand. Surveys in the native range of Hedychium spp. have revealed a varied suite of potential biocontrol agents for H. coronarium. A cost-effective and streamlined biocontrol programme for H. coronarium could be developed for Argentina based on CABI's ongoing biocontrol efforts on this species elsewhere in the world. [ABSTRACT FROM AUTHOR]

Tumors in the posterior fossa can be situated either dorsal and lateral, ventral and medial, or occupying both regions in relation to the cranial nerves, with the latter position being especially challenging. In an effort to organize neurovascular complexes contained within, anatomically based triangles have been proposed to serve as guiding landmarks for locating critical neurovascular structures. The objectives of this study were to: (1) provide a review of historical anatomically based vascular-centric triangles of the posterior fossa based on respective neurovascular complexes; (2) introduce a more organized alternative system of triangles with the conceptualization of a projection system from superficial to deep; and (3) propose and describe two new triangles of the posterior fossa: Petrous-Acousticofacial and Acousticofacial-Trigeminal. Five cadavers were studied. Neurovascular complexes were described with the use of anatomically guided cranial nerve-centric triangles, each of which was formed by cranial nerves, petrous bone, brainstem, tentorium, and superior petrosal vein. All triangles were measured and anatomical boundaries confirmed by neuronavigation. Two circumferential frameworks were created to correlate superficial and deep anatomy: (1) Outer circumference and (2) Inner circumference. Posterior fossa was divided into the following: (1) Superior complex-corresponds to the sub-asterional region, which was projected to the trigeminal nerve; (2) Middle complex-corresponds to the mastoid emissary vein foramen, which was projected to the facial and vestibulocochlear nerves; and (3) Inferior complex-corresponds to the posterior condylar canal, which projects to the lower cranial nerves. Neuronavigation confirmed these landmarks. Two new triangles were proposed: (1) The Petrous-Acousticofacial triangle, and (2) The Acousticofacial-Trigeminal triangle. Triangles provide a useful anatomical guide to the posterior fossa. We have introduced an organized schema, as well as proposed two new triangles, with the intent to minimize manipulation of neurovascular structures. [ABSTRACT FROM AUTHOR]

Objective  The aim of this study is to determine feasibility of incorporating three-dimensional (3D) tractography into routine skull base surgery planning and analyze our early clinical experience in a subset of anterior cranial base meningiomas (ACM). Methods  Ninety-nine skull base endonasal and transcranial procedures were planned in 94 patients and retrospectively reviewed with a further analysis of the ACM subset. Main Outcome Measures  (1) Automated generation of 3D tractography; (2) co-registration 3D tractography with computed tomography (CT), CT angiography (CTA), and magnetic resonance imaging (MRI); and (3) demonstration of real-time manipulation of 3D tractography intraoperatively. ACM subset: (1) pre- and postoperative cranial nerve function, (2) qualitative assessment of white matter tract preservation, and (3) frontal lobe fluid-attenuated inversion recovery (FLAIR) signal abnormality. Results  Automated 3D tractography, with MRI, CT, and CTA overlay, was produced in all cases and was available intraoperatively. ACM subset : 8 (44%) procedures were performed via a ventral endoscopic endonasal approach (EEA) corridor and 12 (56%) via a dorsal anteromedial (DAM) transcranial corridor. Four cases (olfactory groove meningiomas) were managed with a combined, staged approach using ventral EEA and dorsal transcranial corridors. Average tumor volume reduction was 90.3 ± 15.0. Average FLAIR signal change was –30.9% ± 58.6. 11/12 (92%) patients (DAM subgroup) demonstrated preservation of, or improvement in, inferior fronto-occipital fasciculus volume. Functional cranial nerve recovery was 89% (all cases). Conclusion  It is feasible to incorporate 3D tractography into the skull base surgical armamentarium. The utility of this tool in improving outcomes will require further study. [ABSTRACT FROM AUTHOR]

The minimally invasive port-based trans-sulcal parafascicular surgical corridor (TPSC) has incrementally evolved to provide a safe, feasible, and effective alternative to access subcortical and intraventricular pathologies. A detailed anatomical foundation is important in mitigating cortical and white matter tract injury with this corridor. Thus, the aims of this study are (1) to provide a detailed anatomical construct and overview of TPSCs and (2) to translate an anatomical framework to early clinical experience. Based on regional anatomical constraints, suitable parafascicular entry points were identified and described. Fiber tracts at both minimal and increased risks for each corridor were analyzed. TPSC-managed cases for metastatic or primary brain tumors were retrospectively reviewed. Adult patients 18 years or older with Karnofsky Performance Status (KPS) ≥ 70 were included. Subcortical brain metastases between 2 and 6 cm or primary brain tumors between 2 and 5 cm were included. Patient-specific corridors and trajectories were determined using MRI-tractography. Anatomy: The following TPSCs were described and translated to clinical practice: superior frontal, inferior frontal, inferior temporal, intraparietal, and postcentral sulci. Clinical: Eleven patients (5 males, 6 females) were included (mean age = 52 years). Seven tumors were metastatic, and 4 were primary. Gross total, near total, and subtotal resection was achieved in 7, 3, and 1 patient(s), respectively. Three patients developed intraoperative complications; all recovered from their intraoperative deficits and returned to baseline in 30 days. A detailed TPSC anatomical framework is critical in conducting safe and effective port-based surgical access. This review may represent one of the few early translational TPSC studies bridging anatomical data to clinical subcortical and intraventricular surgical practice. [ABSTRACT FROM AUTHOR]

Objective Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a serine protease that regulates cholesterol metabolism and has been linked to cardiovascular (CV) risk. The purpose of the present study was to examine whether PCSK9 levels are related to abnormalities in the lipid profile and the development of atherosclerosis that occurs in patients with axial SpA (axSpA). Methods We performed a cross-sectional study that encompassed 545 individuals; 299 patients with axSpA and 246 statin use–matched controls. PCSK9 and standard lipid profiles were analysed in patients and controls. Carotid intima-media thickness (cIMT) and carotid plaques were assessed in patients. A multivariable analysis, adjusted for standard CV risk factors, was performed to evaluate the influence of PCSK9 on axSpA-related dyslipidaemia and subclinical carotid atherosclerosis. Results Total cholesterol, high-density lipoprotein and low density lipoprotein cholesterol, lipoprotein (a) and apolipoprotein A1 were significantly lower in axSpA patients than controls. PCSK9 serum levels [β coefficient −44 ng/dl (95% CI −60, −27), P  = 0.000] were also downregulated in axSpA patients after fully multivariable adjustment. ASDAS-CRP was found to be independently and significantly related to PCSK9 [β coefficient 10 ng/dl (95% CI 1, 18), P  = 0.023] after analysing fully adjusted models that took age, sex and the rest of the lipid profile molecules into account. Whereas patients taking prednisone showed higher serum levels of PCSK9 [55 ng/ml (95% CI 24, 8), P  = 0.001], those under anti-TNF-α therapies exhibited lower levels [β coefficient −26 ng/ml (95% CI −43, −9], P  = 0.003]. Conclusion PCSK9 is downregulated in patients with axSpA. Disease activity is positive and significantly related to PSCK9. Anti-TNF-therapy yields a reduction in PCSK9 serum levels. [ABSTRACT FROM AUTHOR]

Summary: Re‐establishment of heritable latitudinal clines in growth‐related traits has been recognised as evidence for adaptive evolution in invasive plants. However, less information is known about latitudinal clines in defence and joint clinal evolution of growth and defence in invasive plants.We planted 14 native Argentinean populations and 14 introduced Chinese populations of Alternanthera philoxeroides in replicate common gardens in China. We investigated the latitudinal clines of traits related to growth and defence, and plasticity of these traits in relation to experiment site and soil nitrogen.We found that chemical defence decreased with latitude in introduced populations but increased with latitude in native populations. For growth rate, latitudinal clines were positive in introduced populations but nonexistent in native populations. There were also parallel positive latitudinal clines in total/shoot biomass and specific leaf area. Experiment site affected the occurrence or magnitude of latitudinal clines in growth rate, branch intensity and triterpenoid saponins concentration. Introduced populations were more plastic to experiment site and soil nitrogen than native populations.We provide evidence for rapid evolution of clines in growth and defence in an invasive plant. Altered herbivory gradients and trade‐off between growth and defence may explain nonparallel clines between the native and introduced ranges. [ABSTRACT FROM AUTHOR]

There is no simple method to measure glomerular filtration rate (GFR) in mice, which limits the use of mice in models of renal diseases. We aimed at simplifying the plasma clearance of iohexol in mice, using dried blood spot (DBS) sampling in order to reduce the amount of blood taken for analysis. GFR was measured simultaneously by a reference method in total blood—as described before—and tested method using DBS in fifteen male and six female C57BL/6J mice. Total blood extraction was 50 μL for the reference methods and 25μL for the tested methods, distributed in 5 samples. The agreement of GFR values between both methods was analyzed with the concordance correlation coefficient (CCC), total deviation index (TDI) and coverage probability (CP). The agreement between both methods was excellent, showing a TDI = 8.1%, which indicates that 90% of the GFR values obtained with DBS showed an error ranging from − 8 to + 8% of the reference method; a CCC of 0.996 (CI: 0.992), reflecting high precision and accuracy and a CP of 94 (CI: 83), indicating that 6% of the GFR values obtained with DBS had an error greater than 10% of the method in blood. So, both methods are interchangeable. DBS represent a major simplification of GFR measurement in mice. Also, DBS improves animal welfare by reducing the total blood required and refining the procedure. [ABSTRACT FROM AUTHOR]

The yellow flag, Iris pseudacorus L. (Iridaceae) is an emergent perennial wetland plant native to the Palearctic region and has been dispersed worldwide as an ornamental plant. In the introduced range, it is highly invasive in natural and artificial waterbodies. Currently, this species is difficult to manage and continues to spread, causing significant environmental impacts. The aims of this study were to assess the geographical range of I. pseudacorus in Argentina by compiling data from literature, collections, citizen science and field surveys. An exhaustive review of herbarium collections and literature was conducted and a database with reports obtained through citizen science was obtained and used to design routes for field surveys. 114 records of I. pseudacorus were obtained, mainly in humid and disturbed areas. The oldest records date from 1931 and 1933, and the number of reported localities showed a gradual increase with time. Fifteen records of the weed were from protected areas, four of which have international conservation status. This study shows that I. pseudacorus is increasing in distribution in Argentina and that citizen science can be used to document the distribution of invasive alien plant species. Taking into account that the number of records obtained from herbarium collections was greater than the number of records from literature, this study shows the value of these as database that allows historical reconstructions. This study is part of a collaborative "Global South" alliance between Argentina, South Africa and New Zealand, determining the extent of I. pseudacorus invasion in the southern hemisphere and generating management strategies for its control. [ABSTRACT FROM AUTHOR]

Objectives Lipid profiles appear to be altered in SLE patients due to disease activity and inflammation. Cholesterol efflux capacity (CEC) is the ability of high-density lipoprotein cholesterol to accept cholesterol from macrophages. CEC has been linked to cardiovascular events in the general population and is impaired in SLE patients. The aim of this study was to establish whether CEC is related to subclinical carotid atherosclerosis in SLE patients. Methods The present report is of a cross-sectional study that encompassed 418 individuals: 195 SLE patients and 223 controls. CEC, using an in vitro assay, and lipoprotein serum concentrations were assessed in patients and controls. Carotid intima-media thickness and carotid plaques were evaluated in SLE patients. A multivariable analysis was performed to study the relationship of CEC to SLE-related data, lipid profile and subclinical carotid atherosclerosis. Results CEC was downregulated in SLE patients [8.1  (4.2) % vs 16.9 (10.4) %, P = 0.004). This occurred independently of traditional cardiovascular risk factors, statin use or other variations in the lipid profile related to the disease. Traditional cardiovascular risk factors, both in patients and controls, and SLE-related data such as activity, severity or damage were not associated with CEC. After multivariable regression analysis including lipid profile–related molecules, CEC was inversely and independently associated with the presence of carotid plaques in SLE patients [odds ratio 0.87 (95% CI: 0.78, 0.97), P = 0.014]. Conclusion CEC is impaired in SLE patients independently of other inflammation-related lipid profile modifications that occur during the disease. CEC is associated with carotid plaques in SLE patients. [ABSTRACT FROM AUTHOR]